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P5530

LPN Staffing Shortages in Facility

New Castle, Pennsylvania Survey Completed on 01-03-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to meet the required staffing ratios for Licensed Practical Nurses (LPNs) as mandated by regulations effective July 1, 2023. Specifically, the facility did not maintain a minimum of one LPN per 25 residents during the day shift on December 10, 2024, when only 5.00 LPNs were available for a census of 132 residents, falling short of the required 5.28 LPNs. Additionally, the facility did not meet the minimum requirement of one LPN per 40 residents on the overnight shift for five days within the reviewed period. On December 3, 6, 7, 10, and 14, 2024, the number of LPNs working was consistently below the required number based on the resident census for each of those nights. The Nursing Home Administrator confirmed these staffing shortages during an interview on January 3, 2025.

Plan Of Correction

The facility was unable to make corrective action for the (Licensed Practical Nurse ratio) for identified days that have already passed. All residents received care in accordance with their care plans and physician orders. Director of nursing or designee will re-educate the labor manager and the RN supervisors on the 7/1/2024 Licensed Practical Nurse ratio requirements. Facility continues to offer incentives, competitive wages, and several other benefits in an effort to hire for all open positions. Nursing Home Administrator, Director of Nursing, and Labor manager will conduct daily staffing meetings Monday - Friday to review (Licensed Practical Nurse ratios) throughout the day, the following day, and the weekend. In the event of vacancies, the Labor Manager or designee will follow staffing policies including offering open shifts to internal staff, contracted agency staff, and offering current staff to stay extra or start earlier. Nursing Home Administrator or designee will audit daily staffing ratios along with all steps taken to fill vacancies 5 days a week and ongoing. Results of the audits will be reviewed and recorded in the monthly Quality Assurance Performance Improvement meeting.

See complete original report
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